| Christopher Evan Lee Md Inc | |
|
520 Superior Ave Ste 290 Newport Beach CA 92663-3667 | |
| (949) 645-6244 | |
| (949) 645-4824 |
| Full Name | Christopher Evan Lee Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 520 Superior Ave Ste 290, Newport Beach, California |
| Authorized Official Name and Position | Christopher Evan Lee (OWNER) |
| Authorized Official Contact | 9496456244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Evan Lee Md Inc Po Box 2433 Suisun City CA 94585-5433 Ph: (657) 241-3600 | Christopher Evan Lee Md Inc 520 Superior Ave Ste 290 Newport Beach CA 92663-3667 Ph: (949) 645-6244 |
| NPI Number | 1023249430 |
|---|---|
| Provider Enumeration Date | 08/03/2009 |
| Last Update Date | 11/08/2023 |
| Medicare PECOS PAC ID | 6901943935 |
|---|---|
| Medicare Enrollment ID | O20091023000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023249430 | NPI | - | NPPES |
| DP9695 | Other | CA | MEDICARE RAILROAD |
| Provider Name | Christopher Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629257035 PECOS PAC ID: 9436295847 Enrollment ID: I20091014000746 |
| Provider Name | David R Braxton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982921292 PECOS PAC ID: 5395038004 Enrollment ID: I20160718002221 |
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